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This study is a randomized controlled trial (RCT) that will rigorously evaluate the implementation, effectiveness and cost-effectiveness of a couple-based integrated human immunodeficiency virus (HIV) and drug abuse prevention intervention (Connect II) with drug-involved male offenders charged with misdemeanors and their primary female sexual partners, implemented by frontline providers in Criminal Court, Community Court or probation (CCP) sites in NYC, compared to CCP standard treatment of care services (TAU). The primary outcomes are to reduce sexually transmitted infections (STIs) and increase condom use.

Condition or disease

Intervention/treatment

Sexually Transmitted DiseasesUnsafe SexSubstance-Related Disorders

Behavioral: PACTBehavioral: TAU

Detailed Description:

HIV/acquired immune deficiency syndrome (AIDS) and criminal justice involvement are critical intersecting public health issues for drug-involved men. Low income, Black and Hispanic men especially bear the burden of the HIV epidemic and are over-represented in the U.S. criminal justice system. Recent Centers for Disease Control and Prevention (CDC) surveillance data suggest that the health disparity in HIV rates is actually increasing for Black men: current estimates suggest 1 in 16 Black men in the U.S. will be infected with HIV in their life time. These HIV/STI transmission risks are fueled by high rates of poverty, incarceration, unemployment, and lack of access to health care and prevention services. The proposed study thus targets an underserved population at the epicenter of the epidemic in the U.S.

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Ages Eligible for Study:

18 Years and older (Adult, Senior)

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Criteria

Inclusion Criteria:

Couples

Both partners are aged 18 or older

Identify each other as their primary sexual partner of opposite sex

Relationship has existed at least 3 months

At least one partner reports having unprotected vaginal or anal intercourse with the other partner in the past 90 days

At least one partner reports exposure to an outside HIV risk in the past year

Male partner reports and is verified by court records of being charged with a misdemeanor

Male partner is currently under court supervision or probation

Exclusion Criteria:

Either partner shows evidence of significant psychiatric or could impairment as confirmed by the MacArthur Competence Assessment Tool during the screening eligibility interview.

Either partner reports severe physical or sexual violence perpetrated by the other partner in the past year as measured on the Revised Conflict Tactics Scale

Either partner is unable to commit to participate in the study through to completion

Either partner reports that the couple is planning a pregnancy within the next 12 months

Either partner is not fluent in English as determined during Informed Consent